I plan to write another review after some time has passed. (Because rhinoplasty results change over several months or years)
I realized that plastic surgery is very dangerous only when I was older, and then I realized that I had operating principles to prevent medical accidents and that I was an
authority on plastic surgery as an otolaryngological approach. It was important to me
(After having a functional disorder, it is a surgical method that will not cause a functional disorder when reshaping the nose. It is conservative, but there is a personal reason to search for a surgeon who knows the nose health and has the experience and expertise in surgery).
As a result, breathing on one side was often blocked, so I endured and endured reoperation, and
autologous rib cartilage was used, and artificial implants were not used at all.
In the present condition, there is no problem carrying objects and carrying out daily life, but the place where the costal cartilage was taken is still tingling, and part of the cartilage is lost anyway, so the pleural membrane sticks a little when you lie down, exercise, or talk a lot and breathe. It seems that the place where this supporting part has disappeared has become vulnerable, and I was worried and signed up as a member to see the prognosis of many people
. One more time)
Nevertheless, I regret that the consultation was enough. I hate the fact that I had to open my nose again, but since I was in the position of having surgery, I was psychologically depressed. There is a regret that it would have been a better consultation.
The director was kind in style and did not consult in detail. However, you have asked me many times what my priorities are. I had additional consultations with the head of department about the parts I hadn't asked before, but he answered all my questions immediately.
The goal of surgery was set as follows.
(Removal of the existing silicone, correcting the crooked bridge of the nose inside and outside the nasal septum, correcting nasal valves, proper cosmetic nose surgery that suits my face) When I took off the surgical
record, the autologous ribs were compacted, hardened with platelets, and then it was called 'donor fascia ( Allogeneic fascia-fascia of the same human species' (if you want to use your own fascia, you need to take the temporal fascia separately) and put it on the bridge of the nose, but using fascia that is not from your own body tissue, that is, from someone else's corpse, is
surgical This is a part I hadn't expected before, but if I carved out the entire costal cartilage and used it on the bridge of my nose, warping might come, and my costal cartilage might have ossified a bit, so I might have done something to use the whole costal cartilage. I didn't feel bad or anything.
I was relieved because the anesthesiologist who was in charge of anesthesia before the operation (general anesthesia was given) directly received the consent form and questionnaire, and checked my condition once more during the recovery after the operation.
The operation started at 9:00 in the morning and lasted over 1:00, a total of over 4 hours. It is said that only one operation is performed per day.
It was included in the surgery cost, but I liked it because it was convenient for my guardian to be with me because I was hospitalized in a single room, and I had asthma because it was an otolaryngology, so they gave me a nebulizer when I recovered from anesthesia
. added it She was discharged after 5 o'clock on the day of surgery.
Packing removal and disinfection the next day after surgery, disinfection check on the 4th day, stitch removal on the 7th day, progress check after a month, etc. The fact that the surgeon is directly watching the outpatient treatment after the surgery until now. k I am very satisfied with the details recorded. Although this is a matter of course, I wonder how many private plastic surgery hospitals in Korea properly record the surgical records in detail. It is said that the patient will not know if it is not taken and recorded with a long-term photograph, or if it is covered
, the patient will not know. It is said that it is only when it comes to reoperation that the material used is sometimes different from the consultation.
I think it's good in many ways to understand what kind of treatment you've been through.
postoperative course. (Common difficulties in the recovery process of rhinoplasty are omitted because there are many other reviews. I underwent complicated revision surgery, but I felt there was not much swelling and bleeding.)
In terms of function, the problem of one side of the nose sticking and clogging when the wings of the nose take a breath at a time and the bending of the bridge of the nose are corrected by nasal septum correction. The problem was solved by nasal valve correction. (In fact, the surgical method is called 'correction of nasal septum', but there are various solutions for each case, and it is said that it is not easy to succeed. (The more I study nose surgery, the more difficult it is. ㅠ)
I think the diagnosis is easy, but the solution is not for everyone. The solution seems to be successful in shape and function for several months to several years after surgery, but after that, inappropriate surgical methods or improperly implanted materials are absorbed or distorted. There are many cases in which the structure is deformed during surgery.
This is the problem and that is the problem, and once the patient complains, any doctor or head of the department will point out in words about the areas to be improved and the surgical method. I will study now, so I will talk. .In
terms of shape, the curve was corrected, and the tip of the nose that wanted to fall was lifted (I don't want to be greedy for this, because if I did, the nose would have been less stiff...), and I asked not to make the tip of the nose pointy either
. It became really round. Cartilage was transplanted even for small dents on the nose and wings. Overall, I
am satisfied with the shape, as well as the balance.
I cried when I took off the splint and looked in the mirror. Even when my nose was bent 10 I just have to live, I have to live, I don't want to go to the operating table
I've been holding on, but I think I was crying when I confirmed that my suppressed mind was corrected and there was no big problem with the shape.
Above all, one side of the breath, which had become more constricted as the years passed, was pierced.
The first thing the housekeeper said after removing the packing was "How is it, you can breathe well?" was I felt relieved that those words somehow focused on my number one problem. (I know that functional surgery is really good, and if you don't do it conservatively and meticulously, there will be big problems such as empty
nose syndrome). Rather, it became a lost aspect. Perhaps, during nasal valve correction, the tip of the nose became dull and the cartilage graft lifted the tip of the nose more, so one nasal hole became a long kidney bean that was pulled up long, and the other side became a relatively small kidney bean.
If you take a picture, it will definitely show up ㅠ.ㅠ, but I didn't inquire about this part separately because I didn't want to live looking at my face microscopically and I didn't want to continue to invade my face. However, if the current asymmetry gets worse as the scar tissue is loosened, anyone can notice it, so you have to complain.
<>>
First, the nasal septum was set up with costal cartilage, and the nasal septum was corrected, and cartilage was transplanted for fine correction of the sagging of one side of the nose and the wing... I'll post a detailed review on...)
The fact that the nose is quite hard actually hardens my heart. Among the signs of postoperative complications, there is a report that the stiffness of the breast tissue is maintained until the 7th month and then decreases, so it is necessary to manage and monitor it well during that time
. Just watch it move) It doesn't seem like it will ever get softer. ㅠ.ㅠ It's to the extent that I'm worried about what to do if I say bump into it. I'm surprised when I make a frowning expression like Kim Hye-soo's nose. (Feels like my nose is tied up? I want this to ease a bit with time... but it's still a lot)
along the incision line inside the inner valve inside the nose' I have breasts along the way haha), and
the feeling of being squeezed, hardened, and dry is quite uncomfortable, but I guess this part will get much better when it gets softer over time, so I don't have to worry too much.
Lastly, was it a good thing to take the costal cartilage? will continue to ask the question.
Remove the silicone implant, whether or not the nose is a little lower (I don't have a low nose, so the silicone is thin, but it's not fixed straight, maybe because I have a weak hook, and it slides a little to one side of the bridge of the nose and bends the nose) Just ear
cartilage If it was possible to correct the nasal septum with the back, if
it was possible to give up the shape and recover only the functional part of the recovery to hide because it was not the worst case of contracture and the nose was not low, I wonder what it would have been like if it had been done with that. Regret and anxiety remain.
(Please ask for many reviews from people who have taken costal cartilage.)
(PS > After investigating this part, there are several ways to correct nasal septal deviation depending on the patient's situation. I saw it in the column of the surgeon and the hospital blog that it was explained that patching on the side is the most certain reinforcement. There may be cases where surgery is performed with ear cartilage, but I guess in my case, rib cartilage would have been the most certain anyway.) This
anxiety The source of
the first is said to be about 5-7 cm of costal cartilage, and the question of whether the disappearance of that much is truly safe for life without other complications (they said it was okay during the consultation, but I wonder if there is a follow-up study on this part. What I have seen so far is All seem to be papers from the point of view of plastic surgery material for autologous ribs.)
Second, the hardness of the rib cartilage used to correct the nasal septum, raise the tip of the nose, and shape the nasal bulb was compared to this point, a little over a month later.
It comes from the question of how much it can be alleviated....
Third, is it because of the edema or the weight of the padded cartilage? When I lay down to sleep, one day when I turn my head to the right, I feel the weight of my nose being hooked, and one day, when I lay my head to the left, I feel the weight being pushed to that side. As if the pendulum was heavy (I've never felt it this big during previous surgeries, but it's really unique. Fortunately, I think I'm worried if I feel like I'm constantly leaning in one direction, but the right and left changes over time and the
edema Fourth, as
part of the costal cartilage that wraps the thoracic cavity in a curve is lost, the skin (including the lower muscle) presses the pleural membrane as if it were sticking right away while
breathing and talking, or Depending on the air environment, you may cough, or when you exhale deeply after breathing, you feel a little stuffy in your chest as the flesh is pressed together.
Overall, after only a month or so,
1. The hospital's treatment system was safe and comfortable.
2. The ethics of the surgeon and the professionalism of the surgical technique are trustworthy.
However, for a middle-aged patient whose discomfort such as nasal congestion and bending is more important than the desire for shape, when nasal septum correction and nasal valve correction are performed together with costal cartilage, the nose is firmly fixed on the philtrum. It's honestly disappointing that I didn't warn you about what I was going to do. Of course, what side effects would I have? I can't help but feel that it is hard and fixed. If I received the answer, what decision would I have made in the end? Would I have let him live even if his nose was bent and one nose stuck and his breath was a bit choked? What would you sacrifice? I do not know. Hahaha )
3. The use of costal cartilage is hard, so it gives discomfort to the extent that it cannot be compared with other autologous cartilage in the past.
There are no symptoms of pain or burning sensation. (If you have these fatal symptoms, I don't think you are a competent doctor at all.)
That's what the physical properties of costal cartilage are.
therefore!! People who are very low but desperate to raise the bridge of the nose, people who have a small nose and are desperate to lengthen it, people who are desperate to straighten the nasal passages, people who need nose reconstruction due to multiple surgeries or contractures or severe inflammation In the case of autologous rib cartilage, despite the disadvantages below, I think that it will be very satisfactory because its robustness is effective for this kind of trouble, but I think there will be other cases where I regret it.
(In my case, I wore glasses and put them all down on my own-I am quite embarrassed that another restraint was created, in which the nose was firmly fixed, perhaps because the improvement in function was the main part, and the need for cosmetic surgery was not very high)
4. As with all surgeries, autologous rib cartilage seems to require a lot of expertise from medical staff.
The downside of self-reliance I think
a. The risk of taking the rib cartilage (Chief Jin is known as an authority on otolaryngology surgery, so I don't think there was a problem with the process of taking the rib cartilage. Nevertheless, I still feel the pain after a month. The chest is married, so it doesn't matter. He
said there was no problem with golf after about a month, but since there is still pain, I doubt that the weakening of the ribs due to the loss of rib cartilage will be permanent
. Foreign body sensation due to the physical properties of costal cartilage, which is
also felt to be hard and heavy.
Rhinoplasty surgery is really difficult. If possible, don't do it in the first place. I had my first surgery when I was young to make it more feminine, with a slightly hooked nose, a high nose bridge, and a wide nose bone like a man's nose. I went to an acquaintance, not a) and went to an acquaintance, Lululala~ I did the surgery again, and this looked good at first, but starting from the 4th or 5th year after the surgery, it started to cause serious problems, and the silicone became more and more bent, the bridge of the nose was bent, and one side of the nose was blocked...... The ear at the tip of the nose I think it was built with cartilage and added with Alloderm, but the ear cartilage has shrunk a little and the Alloderm has been absorbed. I thought there was no plastic surgery and lived with it... but in the end, it was the third surgery at the otolaryngology department because of its function, and I regret that I should not have had nose surgery the first time.
The shape of the nose has complex aesthetic elements of three dimensions, such as frontal, 45 degree, side view, and even viewing from under the nose hole. In addition, the contour of the face, the shape and philtrum of the eyes, the connection with the mouth... It is intricately harmonized with other parts, so it is not easy to realize it as I imagined and desired through surgery. It is a place where organs that move smoothly and are related to survival are intricately intertwined. The health of the nose is also connected to headaches, eye health, and mental health... Well, there is no place where the body is not important.
If you refer to the blog of the surgeon who performed the surgery, a world-renowned Japanese doctor in the United States also says that the reoperation rate is 10%. I remember seeing that the rhinoplasty revision rate in one statistic was over 50%. (It's terrible, but if you have a nose job, one of the two will go up to the operating table again, and the process of reoperation is relatively easy to adapt to after surgery, such as ear cartilage or nasal septum. If you have to go to a more difficult operation such as costal cartilage, or if the nasal septum or mucous membrane is damaged, it is a very difficult process
...
There are times when I am so surprised that I feel a sense of heterogeneity, and I am afraid that that will be maintained for the rest of my life.
Problems can arise at any time after the artificial implant is done once, and if that happens, you run into a really serious risk of having to keep touching your nose.
Autologous tissues include ear cartilage, nasal septum, costal cartilage, fascia, and dermis. There is also the risk of damaging the body odor.
Unless it's a serious appearance problem, unless your appearance determines your livelihood, I think it's better to just live.
(How people compare themselves to celebrities... I really don't understand. Let alone celebrities, professional success doesn't depend on being pretty or good-looking.) Today on the subway, two people in their 20s with no double eyelids and good-natured noses playing tiki-taka
. Looking at them, I looked at them blankly because they looked so pretty. Even without double eyelids and with a low nose, they were very cute, charming, and pretty.
I don't understand the obsession of people who think that a high nose is a prettier thing. Does Kim Hye-soo have a high nose? Does Jeon Do-yeon have a high nose?
Tang Wei's nose is high, and her nose is a half socks or straight legs, is it a typical shape? Beauty is harmony, and the aura that Heun talks about, that is, the atmosphere. Rather, a face with typical proportions is somehow like a cyborg, and rather than attractive, it feels lifeless and alien.
Aura doesn't just come from the shape of the eyes, nose and mouth. The person's intellectual and social capabilities, presence, personality, manners, facial expressions, gestures, and fashion
make a bigger aura in a way.
Why do people in their 20s and 30s get the most plastic surgery at the age when they are the prettiest and shine even without makeup?
Well, I was like that too, but looking back, I wonder why. (I thought it was a fashion that cost a few million won. I didn't think it was a fashion that could be dangerous.) The few million won that I spent at that age later led to reoperations and additional surgeries on other parts of the body, and even the cost of a mid-size car. There are many cases of using it, but did you know that if you roll that money at 7% compound interest for 20 years until your 40s, it will become 100 million? - It's a lot of money to travel, study abroad, and do what you want to do. Even after becoming a woman in her 40s, she has a lot of motivation to develop herself. What's happiness? When surgery goes wrong and reconstructive surgery is performed, the cost of surgery doubles, and I am concerned when I see young people in their 20s who are not prepared for that kind of plastic surgery. Even if it goes well, if you do something, you will continue to do it, which is the trap of plastic surgery. )
The body and mind change as we get older, and the standards of the times also change.
And plastic surgery does not give immediate results. The period of recovery and adaptation is longer than expected, and most of the plastic surgery I have experienced
changes in the first few years and the subsequent years, and side effects appear several years later. (The body and flesh are living organisms that undergo aging.)
Therefore, changes in the shape of only the outer shell visible in the later two-dimensional photos taken at a specific time after surgery (especially, no reviews of the discomfort the person feels inside the body) have been corrected or photos taken of only that part without other facial
parts , Let's not judge just by looking at a picture from one angle.
And above all, let's not decide to
run to the hospital or have the surgery by seeing the case of a person with a completely different facial structure and constitution and applying it to me
. It's a stupid move. (Even if the shape of the nose is similar, the condition inside the nose can be completely different from person to person.)
Plastic surgery is not makeup that can be removed, and it is not clothes that can be worn and taken off.
My life and health depend on it, I have to be with it for the rest of my life, and it's about my beloved body, which I know best than anyone else.
Objective physical properties of what one looks like It seems to be about the appearance of the skin and bones,
but misunderstandings, useless meddling around, self-obsession called body dysmorphic disorder, trends for a while that change after 5-10 years, marketing in capitalism, comparison with others There is a very high possibility that it is about psychology, such as the competitive spirit and the resolution of depression. The problem is that such psychology makes a physical decision that cannot be undone once done.
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